| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.50 | $27.30 | $165.98 | |
Aetna
| Professional | $23.28 | $27.30 | $34.28 | |
BCBS
| Facility | $215.47 | $215.47 | $230.27 | |
BCBS
| Professional | $35.00 | $74.00 | $95.23 | |
Cigna
| Facility | $64.37 | $86.22 | $211.37 | |
Cigna
| Professional | $15.85 | $19.57 | $41.20 | |
Medcost
| Facility | $27.30 | $35.00 | $50.75 | |
Molina
| Professional | $19.25 | $19.25 | $19.25 | |
United
| Professional | $14.70 | $21.00 | $31.87 |